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Resident well being

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https://www.readbyqxmd.com/read/29471106/historical-and-contemporary-features-of-infections-due-to-clostridium-novyi
#1
REVIEW
David M Aronoff, Powel H Kazanjian
Clostridium novyi is an anaerobic bacterium that resides in the soil in nature and that may cause severe clinical infections in humans. It is named after Frederick Novy, who incidentally discovered the anaerobic organism responsible for septicemia in rabbits. In this paper, we explore the circumstances surrounding the identification of the organism. In particular, we address who Novy was and what he was trying to do when he first described the organism in the 1890s. We then address what is known about the biological features of the organism today, as well as the clinical syndromes that are now recognized to be associated with the microbe...
February 19, 2018: Anaerobe
https://www.readbyqxmd.com/read/29469362/-effect-of-schistosomiasis-control-in-yangxin-county-hubei-province-2004-2015
#2
Yuan Xiu-Bai, Li Xiang-Wen, Liang Xun-Fa, Zhang De-Bo, Cao Zhe, Hu Qian-Qing
OBJECTIVE: To evaluate the effect of schistosomiasis control and prevention in Yangxin County from 2004 to 2015, so as to provide the evidence for improving the work of schistosomiasis transmission interrupted and elimination in the future. METHODS: According to the endemic types and endemic regularity of schistosomiasis in Yangxin County, the comprehensive control strategies were adopted, and the programs related to sanitation, water conservancy, forestry, and agriculture were implemented continuously...
May 5, 2017: Zhongguo Xue Xi Chong Bing Fang Zhi za Zhi, Chinese Journal of Schistosomiasis Control
https://www.readbyqxmd.com/read/29468920/training-medical-students-for-the-twenty-first-century-rationale-and-development-of-the-utrecht-curriculum-cru
#3
Olle Ten Cate, Jan Borleffs, Marijke van Dijk, Tineke Westerveld
AIM: The aim of this report, written for the 40th anniversary issue of Medical Teacher, is to document 20 years of development of the Utrecht undergraduate medical curriculum, as both to exhibit accountability and to inform the community of the process and choices that can be made in long-term curriculum development. METHODS: We used the SPICES model, created by Medical Teacher's Editor Ronald Harden and colleagues in 1984. RESULTS: The Utrecht six-year program, now called "CRU+", has many distinct features that were introduced, most of which are well documented...
February 22, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29468401/the-role-of-the-genitourinary-microbiome-in-pediatric-urology-a-review
#4
REVIEW
Daniel Gerber, Catherine S Forster, Michael Hsieh
PURPOSE OF REVIEW: In this review, we highlight the effects of the microbiome on urologic diseases that affect the pediatric patient. RECENT FINDINGS: Perturbations in the urinary microbiome have been shown to be associated with a number of urologic diseases affecting children, namely urinary tract infection, overactive bladder/urge urinary incontinence, and urolithiasis. Recently, improved cultivation and sequencing technologies have allowed for the discovery of a significant and diverse microbiome in the bladder, previously assumed to be sterile...
February 22, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29467975/implementing-a-universal-well-being-assessment-to-mitigate-barriers-to-resident-utilization-of-mental-health-resources
#5
Sarah Sofka, Carl Grey, Nathan Lerfald, Laura Davisson, Janie Howsare
Background : Physician utilization of well-being resources remains low despite efforts to promote use of these resources. Objective : We implemented a well-being assessment for internal medicine residents to improve access and use of mental health services. Methods : We scheduled all postgraduate year 1 (PGY-1) and PGY-2 residents at West Virginia University for the assessment at our faculty and staff assistance program (FSAP). While the assessment was intended to be universal (all residents), we allowed residents to "opt out...
February 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29467971/-jgme-aliem-hot-topics-in-medical-education-an-analysis-of-a-virtual-discussion-on-resident-well-being
#6
Arlene Chung, Nicole Battaglioli, Michelle Lin, Jonathan Sherbino
Background : Physician well-being is garnering increasing attention. In 2016, the Journal of Graduate Medical Education ( JGME ) published a review by Kristin Raj, MD, entitled "Well-Being in Residency: A Systematic Review." There is benefit in contextualizing the literature on resident well-being through an academic journal club. Objective : We summarized an asynchronous, online journal club discussion about this systematic review and highlighted themes that were identified in the review...
February 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29464769/becoming-at-home-in-residential-care-for-older-people-a-material-culture-perspective
#7
Melanie Lovatt
Residential homes encourage new residents to bring belongings with them, so that they can personalise their room and 'feel at home'. Existing literature on material culture in residential homes views objects as symbols and repositories of home and identity, which can facilitate a sense of belonging in residents through their display in residents' rooms. I suggest that this both misunderstands the processual and fluid nature of home and identity, and conceptualises objects as essentially passive. This article uses ethnographic data and theories of practice and relationality to argue that rather than the meaning of home being inherent in objects, or felt subjectively by residents, meaning is generated through ongoing, everyday interactions between the two...
February 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29464153/sset-project-cost-effectiveness-analysis-of-surgical-specialty-emergency-trays-in-the-emergency-department
#8
Laura S Humphries, Deana S Shenaq, Chad M Teven, Julie E Park, David H Song
Background: We hypothesize that reusable, on-site specialty instrument trays available to plastic surgery residents in the emergency department (ED) for bedside procedures are more cost-effective than disposable on-site and remote re-usable operating room (OR) instruments at our institution. Methods: We completed a cost-effectiveness analysis comparing the use of disposable on-site kits and remote OR trays to a hypothetical, custom, reusable tray for ED procedures completed by PRS residents...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29463835/strontium-isotope-ratios-of-human-hair-record-intra-city-variations-in-tap-water-source
#9
Brett J Tipple, Luciano O Valenzuela, James R Ehleringer
The oxygen (18 O/16 O) isotope analysis of hair is commonly applied to reconstruct an individual's residence history. However, region-of-origin as determined from oxygen isotope values (δ18 O) alone is often spatially indistinct. Adding additional geochemical recorders can refine region-of-origin estimates. In this capacity, strontium (87 Sr/86 Sr) isotope analysis has attracted increased interest. While87 Sr/86 Sr reflects the influences of local geology,87 Sr/86 Sr of hair includes both external environmental signals as well as the internal dietary indicators...
February 20, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29463769/pilot-randomised-controlled-trial-to-improve-hand-hygiene-through-mindful-moments
#10
Heather Gilmartin, Sanjay Saint, Mary Rogers, Suzanne Winter, Ashley Snyder, Martha Quinn, Vineet Chopra
BACKGROUND: To evaluate the effectiveness of a brief mindfulness intervention on hand hygiene performance and mindful attention for inpatient physician teams. DESIGN: A pilot, pre-test/post-test randomised controlled mixed methods trial. SETTING: One academic medical centre in the USA. PARTICIPANTS: Four internal medicine physician teams consisting of one attending, one resident, two to three interns and up to four medical students...
February 20, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29463211/team-up-for-quality-a-cluster-randomized-controlled-trial-protocol-focused-on-preventing-pressure-ulcers-through-repositioning-frequency-and-precipitating-factors
#11
Tracey L Yap, Susan M Kennerly, Susan D Horn, Nancy Bergstrom, Santanu Datta, Cathleen Colon-Emeric
BACKGROUND: Pressure ulcers/injuries (PrUs), a critical concern for nursing homes (NH), are responsible for chronic wounds, amputations, septic infections, and premature deaths. PrUs occur most commonly in older adults and NH residence is a risk factor for their development, with at least one of every nine U.S. NH residents experiencing a PrU and many NHs having high incidence and prevalence rates, in some instances well over 20%. PrU direct treatment costs are greater than prevention costs, making prevention-focused protocols critical...
February 20, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29463097/prevalence-and-associated-factors-of-internet-gaming-disorder-among-community-dwelling-adults-in-macao-china
#12
Anise M S Wu, Juliet Honglei Chen, Kwok-Kit Tong, Shu Yu, Joseph T F Lau
Background and aims Internet gaming disorder (IGD) has been mainly studied among adolescents, and no research to date has examined its prevalence in general Chinese adult populations. This study estimated the prevalence of probable IGD in community-dwelling adults in Macao, China. Associations between IGD and psychological distress (i.e., depression and anxiety) as well as IGD and character strength (i.e., psychological resilience and purpose in life) were also tested. Methods A random, representative sample of 1,000 Chinese residents (44% males; mean age = 40...
February 21, 2018: Journal of Behavioral Addictions
https://www.readbyqxmd.com/read/29462570/maternal-perceptions-of-infant-feeding-and-health-in-the-context-of-the-2015-nepal-earthquake
#13
Sarah DeYoung, Manoj Suji, Hannah G Southall
BACKGROUND: Displacement caused by the 2015 earthquake in Nepal exacerbated poor health and nutrition for thousands of women and children. Research aim: This study aimed to identify the perceptions of Nepalese mothers residing in earthquake relocation camps regarding barriers, facilitators, and situational factors influencing breastfeeding and family well-being. METHODS: An exploratory, rapid ethnographic approach was used during two fieldwork phases. Phase 1 consisted of reconnaissance and observation, whereas Phase 2 consisted of observation and qualitative semistructured interviews with infant caretakers ( N = 14)...
February 1, 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/29462226/increased-prevalence-of-cancer-in-adult-patients-with-psoriasis-in-the-united-states-a-claims-based-analysis
#14
Alexandra B Kimball, Murali Sundaram, Martin Cloutier, Marjolaine Gauthier-Loiselle, Patrick Gagnon-Sanschagrin, Annie Guérin, Arijit Ganguli
BACKGROUND: Psoriasis (Ps) is a chronic inflammatory immune-mediated skin disease that has been identified as a risk factor for various conditions including neoplasms. OBJECTIVE: To compare prevalence of cancer between Ps and Ps-free patients. METHODS: Adult patients continuously enrolled for ≥12 months (≥1 month in 2014) were selected from a large United States (US) claims database (Q1:2010-Q4:2014) and classified as Ps patients (≥2 Ps diagnoses; International Classification of Diseases 9th Revision, [ICD-9] code: 696...
February 1, 2018: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/29462009/gender-differences-in-utilization-of-duty-hour-regulations-aspects-of-burnout-and-psychological-well-being-among-general-surgery-residents-in-the-united-states
#15
Allison R Dahlke, Julie K Johnson, Caprice C Greenberg, Remi Love, Lindsey Kreutzer, Daniel B Hewitt, Christopher M Quinn, Kathryn E Engelhardt, Karl Y Bilimoria
OBJECTIVE: The aim of the study was to (1) assess differences in how male and female general surgery residents utilize duty-hour regulations and experience aspects of burnout and psychological well-being, and (2) to explore reasons why these differing experiences exist. BACKGROUND: There may be differences in how women and men enter, experience, and leave residency programs. METHODS: A total of 7395 residents completed a survey (response rate = 99%)...
February 16, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29458206/mucoadhesive-self-emulsifying-delivery-systems-for-ocular-administration-of-econazole
#16
Ibrahim A Elbahwy, Noemi Lupo, Hany M Ibrahim, Hatem R Ismael, Alaa A Kasem, Cagri Caliskan, Barbara Matuszczak, Andreas Bernkop-Schnürch
AIM: Development of mucoadhesive self-emulsifying drug delivery systems (SEDDS) providing a prolonged ocular residence time for poorly soluble active pharmaceutical ingredient. METHODS: L-Cysteine was covalently linked to 6-mercaptonicotinamide. The obtained ligand, Cysteine-6- mercaptonicotinamide (Cys-6-MNA) was attached to Eudragit® L100-55 via a carbodiimide mediated amide bond formation. The resulting entirely S-protected thiolated Eudragit® L100-55 was characterized regarding the degree of modification as well as stability toward oxidation in the presence of strong oxidizing agent (H2 O2 )...
February 16, 2018: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/29458144/disruption-of-peroxisome-function-leads-to-metabolic-stress-mtor-inhibition-and-lethality-in-liver-cancer-cells
#17
Mengjiao Cai, Xiao Sun, Wenchao Wang, Zhusheng Lian, Ping Wu, Suxia Han, Huan Chen, Pumin Zhang
Peroxisome houses a large number of enzymes involved in lipid and phytochemical oxidation as well as synthesis of bile acid and other specialized lipids. Peroxisome resident enzymes are imported into the organelle via a conserved cargo transport system composed of many peroxins, protein factors essential for the biogenesis of peroxisome. Among the peroxins, PEX5 plays a transporter role, and PEX2, 10, and 12 are thought to form a complex that functions as an E3 ubiquitin ligase to help recycle PEX5 in an ubiquitin modification-dependent process...
February 16, 2018: Cancer Letters
https://www.readbyqxmd.com/read/29457512/perceived-diet-and-exercise-behaviors-among-social-network-members-with-personal-lifestyle-habits-of-public-housing-residents
#18
Kimberly A Gudzune, Jennifer Peyton, Craig Evan Pollack, J Hunter Young, David M Levine, Carl A Latkin, Jeanne M Clark
Our objective was to characterize the relationship between public housing residents' diet/exercise habits with similar behaviors among their social network. We conducted a cross-sectional survey of randomly selected households in Baltimore, Maryland, from August 2014 to August 2015. Adult heads of household completed questions on diet, exercise, and perceived habits among network members. Our dependent variables were high added sugar intake (≥39.9 teaspoons/day), high fruit/vegetable intake (≥6.1 servings/day), and being physically active (≥moderately activity)...
February 1, 2018: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/29457248/duty-hours-restriction-for-our-surgical-trainees-an-ethical-obligation-or-a-bad-idea
#19
REVIEW
Christopher A Adin, Callie A Fogle, Steven L Marks
To ensure patient safety and protect the well-being of interns and residents, the Accreditation Council for Graduate Medical Education (ACGME) issued guidelines in 2003 limiting the working hours of physician trainees. Although many supported the goals of the ACGME, institutions struggled to restructure their programs and hire staff required by this unfunded mandate. Numerous studies have analyzed the effects of duty hours restrictions on patient outcomes and physician training over the past 15 years. Most agree that duty hours restrictions improved well-being of house officers, but these improvements came at the expense of continuity, and patient hand-offs led to medical errors...
February 19, 2018: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29455076/from-child-autistic-symptoms-to-parental-affective-symptoms-a-family-process-model
#20
Kevin Ka Shing Chan, Chun Bun Lam, Naska Chung Wa Law, Ryan Yat Ming Cheung
BACKGROUND: Depression and anxiety are prevalent among parents of children with autism spectrum disorder (ASD), but limited research has investigated why parenting a child with ASD is associated with elevated distress and increased risks of mental health problems. We responded to this gap in the literature by examining the associations between child autistic symptoms and parental affective symptoms, as well as the potential underlying mechanisms. Guided by a family process theory, we hypothesized that child autistic symptoms would be positively associated with parental depressive and anxiety symptoms, and that these associations would be mediated by parents' concerns about their children's characteristics (future-related worry), parental roles (parenting stress), marital relationships (marital conflicts), and family conditions (family economic pressure)...
February 15, 2018: Research in Developmental Disabilities
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